Holy Baptism Information Name * Child's Full Name First Name Last Name Child's preferred nickname City/State of Birth Date of Birth MM DD YYYY Gender Male Female Mother's Full Name First Name Last Name Father's Full Name First Name Last Name Religious Affiliation of Parents Godparents or sponsors Typically children have Godparents, adults have sponsors Date of Baptist MM DD YYYY Preferred Time Please tell us which service you would like, or what time you would like your private baptism to take place. Place of Baptism Would you like the baptism to take place at church or privately in your home? Officiant How many friends and family attending? Phone Number (###) ### #### Email * Family Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!
